Trial Outcomes & Findings for Cognitive Training With and Without tDCS to Improve Cognition in HIV (NCT NCT02647645)

NCT ID: NCT02647645

Last Updated: 2021-06-22

Results Overview

Participants' rate of improvement on a verbal working memory task. Participants completed a battery of cognitive measures administered by an evaluator blind to treatment assignment. We used the Digits Backward trial of the Digit Span subtest of the Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV; Pearson Assessment) to measure working memory. We used raw scores for analyses. These are the largest number of digits the participant could remember and repeat in reverse order. Possible range of scores is from zero to 10. Normal persons typically remember from 5 to 7 digits. Higher scores are considered better. Analysis results are overall estimated marginal means from repeated measures analysis of covariance with treatment group as a fixed factor and age, gender, race, education, helper T cell count, and log viral load as covariates.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

3 weeks

Results posted on

2021-06-22

Participant Flow

Participant milestones

Participant milestones
Measure
Cognitive Training
Cognitive training Sham tDCS Transcranial direct current stimulation: Direct current stimulation
Cognitive Training With tDCS
Cognitive training Active tDCS Transcranial direct current stimulation: Direct current stimulation
Overall Study
STARTED
11
10
Overall Study
COMPLETED
9
9
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Cognitive Training
Cognitive training Sham tDCS Transcranial direct current stimulation: Direct current stimulation
Cognitive Training With tDCS
Cognitive training Active tDCS Transcranial direct current stimulation: Direct current stimulation
Overall Study
Lost to Follow-up
2
1

Baseline Characteristics

Cognitive Training With and Without tDCS to Improve Cognition in HIV

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cognitive Training
n=11 Participants
Cognitive training Sham tDCS Transcranial direct current stimulation: Direct current stimulation
Cognitive Training With tDCS
n=10 Participants
Cognitive training Active tDCS Transcranial direct current stimulation: Direct current stimulation
Total
n=21 Participants
Total of all reporting groups
Age, Continuous
46.45 years
STANDARD_DEVIATION 10.16 • n=5 Participants
48.70 years
STANDARD_DEVIATION 7.04 • n=7 Participants
47.52 years
STANDARD_DEVIATION 8.68 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
0 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
10 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
11 Participants
n=5 Participants
10 Participants
n=7 Participants
21 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 weeks

Population: All participants who completed treatment.

Participants' rate of improvement on a verbal working memory task. Participants completed a battery of cognitive measures administered by an evaluator blind to treatment assignment. We used the Digits Backward trial of the Digit Span subtest of the Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV; Pearson Assessment) to measure working memory. We used raw scores for analyses. These are the largest number of digits the participant could remember and repeat in reverse order. Possible range of scores is from zero to 10. Normal persons typically remember from 5 to 7 digits. Higher scores are considered better. Analysis results are overall estimated marginal means from repeated measures analysis of covariance with treatment group as a fixed factor and age, gender, race, education, helper T cell count, and log viral load as covariates.

Outcome measures

Outcome measures
Measure
Cognitive Training
n=9 Participants
Cognitive training Sham tDCS Transcranial direct current stimulation: Direct current stimulation
Cognitive Training With tDCS
n=9 Participants
Cognitive training Active tDCS Transcranial direct current stimulation: Direct current stimulation
Working Memory: Participants' Rate of Improvement
6.61 units on a scale
Standard Error 0.62
7.45 units on a scale
Standard Error 0.62

SECONDARY outcome

Timeframe: 3 weeks

Population: All participants who completed the study.

Participants' mood over the course of the study. We used the Center for Epidemiological Studies--Depression scale (CES-D) to measure mood. This measure includes 20 items that ask the person assessed to report his or her experience of mood symptoms over the past two weeks. Participants completed this measure before and after the study intervention. Scores can range from zero to 60, with most persons attaining a score of 15 or less. Higher scores are considered worse as they indicate more frequent or more severe mood symptoms.

Outcome measures

Outcome measures
Measure
Cognitive Training
n=9 Participants
Cognitive training Sham tDCS Transcranial direct current stimulation: Direct current stimulation
Cognitive Training With tDCS
n=9 Participants
Cognitive training Active tDCS Transcranial direct current stimulation: Direct current stimulation
Center for Epidemiological Studies Depression Scale (CES-D)
12.95 units on a scale
Standard Error 6.21
23.37 units on a scale
Standard Error 5.10

SECONDARY outcome

Timeframe: 3 weeks

Population: All participants who completed training.

Patient report of cognitive difficulties on the Patient Assessment of Own Functioning. This scale comprises 33 items describing problems in thinking, language, and memory. Participants rate each items according to how often they experience each problem on a six-point scale from "almost never" (score of 0) to "almost always" (score of 5). The participant's score is the sum of ratings on all items. The range of possible scores on each item is from 0 to 5, with most persons achieving a score of 1.5 or lower. Higher scores represent more frequent report of cognitive difficulties and thus are considered worse. The range of all possible scores for the full scale of 33 items is is 0 to 165.

Outcome measures

Outcome measures
Measure
Cognitive Training
n=9 Participants
Cognitive training Sham tDCS Transcranial direct current stimulation: Direct current stimulation
Cognitive Training With tDCS
n=9 Participants
Cognitive training Active tDCS Transcranial direct current stimulation: Direct current stimulation
Patient's Own Assessment of Function (PAOF)
7.39 Score on a scale
Standard Error 0.73
9.17 Score on a scale
Standard Error 0.73

Adverse Events

Cognitive Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cognitive Training With tDCS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Raymond L Ownby, MD, PhD

Nova Southeastern University

Phone: 9542621481

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place